two patient's part of this group are recognizing compliance is a major issue in the treatment of diabetes. and so, it wasn't just encouraging physicians to do everything they could do to keep these patients in good health. but encouraging the patients to be compliant with other medical advice that they were receiving. for some of the groups that are offering a financial or nonfinancial and sent to membership two different groups if they comply with various bonus strategies. if they engage in exercise, if they are engaging in nutrition classes. there have been at dvds to try to encourage the cessation of smoking and to keep it in an ongoing race and it's not only stopping in this case a negative act to video smoking, by making sure people continue has been a real problem in the past. so it is the use of financial or not financially today's to try to provide people with information they need, with rewards, recognition to try to make them feel that they are part and parcel of having better health outcomes. not this passive participant but even good health and outcomes that you the patient ca